Provider Demographics
NPI:1932783461
Name:PRECIOUS HOME SERVICES LLC
Entity Type:Organization
Organization Name:PRECIOUS HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGIE
Authorized Official - Suffix:
Authorized Official - Credentials:CO -OWNER
Authorized Official - Phone:602-831-8383
Mailing Address - Street 1:13560 W VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1169
Mailing Address - Country:US
Mailing Address - Phone:623-308-9062
Mailing Address - Fax:
Practice Address - Street 1:13560 W VAN BUREN ST STE AND101
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1169
Practice Address - Country:US
Practice Address - Phone:623-308-9062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services